Radiographic evaluation of osteochondritis dissecans of the humeral capitellum: A systematic review.

BACKGROUND

The purpose of this study was to evaluate radiographic-based classification systems for osteochondritis dissecans (OCD) of the capitellum and determine their agreement with intraoperative findings.

METHODS

Using PRISMA guidelines, we analyzed 44 studies utilizing a total of 19 classification systems.

RESULTS

Magnetic resonance imaging (MRI)-based systems showed better predictive value of intraoperative staging, and the Itsubo and Kohyama classifications showed best predictive value for lesion stability.

CONCLUSIONS

No classification system effectively correlated with intraoperative findings. A combination of radiograph, MRI, and computed tomography will most accurately determine OCD lesion stability.

LEVEL OF EVIDENCE: IV, Systematic Review.